Internal medicine, American health care, and especially medical education

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Avoid becoming a partialist

It does not refer to subspecialists in general, just those who ignore any problem that does not fit their tunnel vision of their purview.

How large is the pie?

He blogs about urban planning and the economy.  I highly recommend this thought-provoking piece he wrote this week – Where is the pie?

On blogging

He asks interesting and important questions.  I would love to see a large number of comments to this post.

On difficult patients

We must all make mistakes as we mature as physicians.  We should improve our interactive skills and our tolerance with experience and practice.

The expense of end of life care

I object to doing things that have virtually no chance of helping the patient, and significant chance of harming the patient further. 

My hopes for CER

I know many investigators who plan to apply for CER studies.  I hope they try to design unbiased studies.  I believe they will.